Organization Active NPI

CDM Behavioral Management LLC

  • Case Management Agency
  • Hialeah, FL
National Provider Identifier
1346868106
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CDM BEHAVIORAL MANAGEMENT LLC
Practice address
1250 W 53Rd St Apt 18
Hialeah, FL 33012-3086
Phone
(305) 804-4708
NPI assigned
Jul 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Daineris Valera Rivero
Title
Business Manager
Phone
(305) 804-4708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1250 W 53Rd St Apt 18
Hialeah, FL 33012-3086

Mailing address

1250 W 53Rd St Apt 18
Hialeah, FL 33012-3086
Phone (305) 804-4708

Other identifiers 1

IdentifierTypeStateIssuer
2004201983MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1346868106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 W 53RD ST APT 18",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123086",
            "telephone_number": "305-804-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 W 53RD ST APT 18",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123086",
            "telephone_number": "305-804-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDM BEHAVIORAL MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "VALERA RIVERO",
        "authorized_official_first_name": "DAINERIS",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "305-804-4708"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2004201983",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.